| Lev Sudakov Dc Pa | |
|
3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 | |
| (954) 391-7864 | |
| (954) 391-8468 |
| Full Name | Lev Sudakov Dc Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3800 S Ocean Dr Ste 230, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457511172 | NPI | - | NPPES |
| 000170100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8450 (Florida) | Primary |
| Provider Name | Lev H Sudakov |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376540468 PECOS PAC ID: 6800835299 Enrollment ID: I20050426000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Lev Sudakov Dc Pa 3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 Ph: (954) 391-7864 | Lev Sudakov Dc Pa 3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 Ph: (954) 391-7864 |
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